Chronic renal failure (CRF) or chronic kidney disease (CKD) is the end result of a gradual, progressive loss of kidney function. The loss of function may be so slow that you do not have symptoms until your kidneys have almost stopped working.
The final stage of chronic kidney disease is called end-stage renal disease (ESRD). At this stage, the kidneys are no longer able to remove enough wastes and excess fluids from the body. At this point, you would need dialysis or a kidney transplant.
The nursing care planning goal for with chronic renal failure is to prevent further complications and supportive care. Client education is also critical as this is a chronic disease and thus requires long-term treatment.
- Risk for Decreased Cardiac Output
- Risk for Ineffective Protection
- Disturbed Thought Process
- Risk for Impaired Skin Integrity
- Risk for Impaired Oral Mucous Membrane
- Deficient Knowledge
- Excess Fluid Volume
- Acute Pain
- Impaired Renal Tissue Perfusion
- Impaired Urinary Elimination
- Imbalanced Nutrition: Less than Body Requirements
- NEW Activity Intolerance
- NEW Disturbed Body Image
- NEW Anticipatory Grieving
- NEW Risk for Infection
- NEW Risk for Injury
- Other Possible Nursing Care Plans
Activity Intolerance: Insufficient physiologic or physiological energy to endure or complete required or desired activity.
May be related to
- Generalized weakness
Possibly evidenced by
- Reports of fatigue on exertion
- Lack of energy
- Child will attain increased tolerance for activity.
|Assess the extent of weakness, fatigue,|
ability to participate in active and passive activities.
|Provides information about the impact of activities on fatigue and energy reserves.|
|Encourage quiet play, reading, watching tv, games during times of fatigue.||Provides relaxation, stimulation and requires minimal energy expenditure.|
|Schedule care and provide rest periods following an activity; allow the child to set own limits in the amount of exertion tolerated.||Promotes autonomy and control of situations as the presence of a chronic disease may encourage independence.|
|Explain to child purpose for restrictions; explain when to rest and when to stop an activity to the child.||Promotes understanding of the need to conserve energy and rest.|
|Educate parents and child that complete participation in activities is essential and should be sustained for as long as possible (within capabilities and disease restriction).||Promotes an active and normal life for the child with a chronic illness.|
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Genitourinary Care Plans
Care plans related to the reproductive and urinary system disorders:
- Acute Glomerulonephritis | 4 Care Plans
- Acute Renal Failure | 6 Care Plans
- Benign Prostatic Hyperplasia (BPH) | 5 Care Plans
- Chronic Renal Failure | 11 Care Plans
- Hemodialysis | 3 Care Plans
- Hysterectomy | 6 Care Plans
- Mastectomy | 14+ Care Plans
- Menopause | 6 Care Plans
- Nephrotic Syndrome | 5 Care Plans
- Peritoneal Dialysis | 6 Care Plans
- Prostatectomy | 6 Care Plans
- Urolithiasis (Renal Calculi) | 4 Care Plans
- Urinary Tract Infection | 6 Care Plans
- Vesicoureteral Reflux (VUR) | 5 Care Plans